Public record

CMS Home Health Agency All Owners

Associate id: 4789586884 · 21 matching records

Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
1254233364
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-01
First name - owner
CARMEN
Last name - owner
PRZEKWAS
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
1658284369
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-07-31
First name - owner
KEITH
Middle name - owner
W
Last name - owner
OKESON
Title - owner
CEO
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
1658284369
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2005-07-31
First name - owner
KEITH
Middle name - owner
W
Last name - owner
OKESON
Title - owner
CEO
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
1658451992
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-09-01
First name - owner
CHUCK
Middle name - owner
D
Last name - owner
LINDNER
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
2466762398
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-10-01
First name - owner
BETH
Middle name - owner
L
Last name - owner
JOHNSON
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
4385724624
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-01
First name - owner
CORWIN
Middle name - owner
D
Last name - owner
VATNSDAL
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
5496657504
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1995-08-01
First name - owner
THERESE
Middle name - owner
A
Last name - owner
MCBRIDE
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
5698677706
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-01
First name - owner
PETER
Last name - owner
HELGESON
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
5991607004
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2000-12-05
First name - owner
CATHERINE
Middle name - owner
A
Last name - owner
HUSS
Title - owner
CFO
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
5991607004
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2000-12-05
First name - owner
CATHERINE
Middle name - owner
A
Last name - owner
HUSS
Title - owner
CFO
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
6406758515
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-01
First name - owner
CAROLYN
Last name - owner
EEG
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
6507020161
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-03-01
First name - owner
SHAYNE
Middle name - owner
K
Last name - owner
ISANE
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
6709929854
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-10-01
First name - owner
MARK
Middle name - owner
W
Last name - owner
WILSON
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
6800806324
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-04-29
First name - owner
RONALD
Middle name - owner
W
Last name - owner
BRUMMER
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
6901192194
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-08-22
First name - owner
MARK
Middle name - owner
T
Last name - owner
KARL
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
7517869639
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-01
First name - owner
STEPHEN
Last name - owner
HAUGEN
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
7618010760
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-10-01
First name - owner
BRENDA
Middle name - owner
K
Last name - owner
SATHER
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
7719273903
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-08-22
First name - owner
DAN
Middle name - owner
A
Last name - owner
URNESS
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
7810207743
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-10-01
First name - owner
JESSICA
Middle name - owner
R
Last name - owner
FOSS
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
7911136783
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-11-01
First name - owner
MATTHEW
Middle name - owner
L
Last name - owner
ULWELLING
Title - owner
BOARD MEMBER
Enrollment id
O20060307000317
Associate id
4789586884
Organization name
LIFECARE MEDICAL CENTER
Associate id - owner
9739566969
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-02-28
First name - owner
MEGAN
Middle name - owner
S
Last name - owner
COMSTOCK
Title - owner
BOARD MEMBER

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list